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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHamza Shah
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    Hamza Shah — Billing Profile & Reimbursement Data

    NPI 1558687111 · Columbus, OH · Gastroenterology Physician

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    Hamza Shah is a gastroenterology physician provider located in Columbus, Ohio. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationHamza Shah
    Address410 W 10th Ave
    CityColumbus
    StateOH
    ZIP43210
    TaxonomyGastroenterology Physician
    NPI EnumeratedApril 7, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$26.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43238The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he carries out an ultrasound–guided, intramural or transmural fine needle…40$160$6K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…40$130$5.8K
    43237The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; he also inserts an ultrasound transducer through the scope to examine these same…30$130$4.1K
    43270An esophagogastroduodenoscopy (EGD) is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope passed through the mouth. During the EGD, the provider passes guidewires…30$150$4K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…10$130$1.5K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…10$100$1.2K
    43247The provider examines the esophagus, stomach, and first portion of the small intestine with a flexible esophagogastroduodenoscope, a tubular instrument with a light source and camera, which he…10$90$1K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…10$60$900
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.40$20$860
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…10$50$610

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538563467050$270$22.9K
    9921419,22420,010100$70$11.7K
    4323942667050$110$8.8K
    992232,4205,59040$130$7.6K
    4327031030$160$5K
    4323832020$180$4.8K
    992225,0105,48030$100$4.2K
    4323742020$150$3.2K
    43264425020$120$3.1K
    4324721010$110$1.4K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Hamza Shah, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohio State University HospitalsOHGeneral Acute Care Hospital$0$197.7M
    Osu Internal Medicine, LLCOHInternal Medicine Physician$0$28M
    Alex PavidaphaVAVascular & Interventional Radiology Physician$3.5M$0
    Rachel PiechowiakVAVascular & Interventional Radiology Physician$2.4M$0
    Ehab RabaaTNAnatomic Pathology Physician$449.5K$162.7K
    Nilay GandhiVAUrology Physician$570.1K$0
    Pratik DesaiVAUrology Physician$561.3K$0
    David KimVAInterventional Pain Medicine Physician$463.2K$0
    Alok DesaiVAUrology Physician$408.3K$0
    David MeierOHInterventional Cardiology Physician$405.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Ohio Distribution
    Hamza Shah — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio